Beruflich Dokumente
Kultur Dokumente
MQI run
Safer Injecting
Workshops.
Ask staff for more
information.
TIP: Avoid mix-ups, always mark your syringe
6 7
TYPES OF INJECTING
into the vein {intravenous}
Remember
• Always inject in the direction of the heart.
• Never inject into a pulse. A pulse means an
artery.
• Always follow safer injecting tips.
(see page 4)
• Vein care is very important.
(see page 16)
Risks:
• Blood borne viruses HIV, Hep B & C and
many other health problems. Always inject in direction of heart
• Abscesses, infections, blood clots & Deep
Venous Thrombosis (DVT).
• Overdose: Make sure to test the dose and
don’t inject alone.
• There is as high risk of gangrene if you
inject into a pulse/an artery...
Skin Popping
is injecting just
under the skin.
TIP: Always swab the area before injecting.
10 11
TYPES OF INJECTING inject deep into muscle
into the muscle {intramuscular}
Remember
• This can leave the muscle sore and stiff.
• The drug is slower to take effect when you
use this method.
• It is not a good choice for using a lot.
• Always follow safer injecting tips
(see page 4)
• Steroids are used this way.
• Contact your local needle exchange for
more information.
Risks
• Deep painful abscesses.
intramuscular
involves injecting
Avoid injecting into the butt/bum muscles as
deep into the
muscle. TIP: you can’t see if you are doing any damage.
12 13
FINDING A VEIN
NECK - this is a high risk area
• There is a big vein and a big artery here.
RISKS:
• Hit the big artery and you could have severe bleeding.
• Swelling blocking your airway.
• Clots in your big vein very near your heart which could stop you
breathing.
• Nerve damage and potential for an abscess in the neck.
ARM
• The lower you start the longer the veins will last.
RISKS:
• Absesses & infections.
• Missed hits.
HAND
• Avoid use of fingers and palm of hand.
• Remember to take your rings off.
• Hands have thin veins, be gentle.
• Do not use wrist - big artery, veins, and nerves here.
RISKS:
• If you leave a ring on, the swelling can stop the flow of
blood and you could lose a finger.
Remember
• Inject slowly.
Repeated use causes scars to form.
• Remove needle slowly to prevent vein
collapse.
syringe
Remember
sterile water
• Return syringes, barrels and spikes and ask
for a sharps bin (sin bin) when you are next
in your local needle exchange.
metal spoon
WATER
• Use sterile water from the needle exchange.
Each vial is for single use only.
• If you have no sterile water. Boil your own
water and allow it to cool. do not use
Water bottled water
• Bottled water is not sterile (can be full of
bacteria) and should not be used.
CITRIC
• Only use a small amount of citric. Using
too much will irritate the injecting site and
damage veins.
• Each citric sachet is for single use only.
• Generally the amount in the citric sachets
is too much for one hit only use enough to do not use
break down the heroin. LEMON
juice
• Do not use lemon juice or vinegar. This can
cause infections and/or kidney damage.
Vitamin C
• Vitamin C/Vit C (also known as ascorbic
acid) can be used to break down heroin
however there is no evidence that it is better
than citric.
• The main difference is that you need to use
more Vit C than Citric. Citric is a stronger
acid.
do not use
• They can both cause vein damage. vinegar vinegar
• Vitamin C sachets are the best option. Use
as little as possible.
If you are using Vit C make sure it is
Ascorbic Acid BP (pure vitamin C).
24 25
Sharing drugs
front & backloading
Remember
backLOADing
Do not inject
near an
infected site
Where Help is available or lump
Signs of an overdose...
Someone has overdosed if they are...
• Not responding to pain.
• Breathing very slowly or have stopped
breathing.
• Starting to turn blue.
• Not coming around within three minutes.
What to do...
• If someone overdoses, don’t assume they’ll
come around. Call 999 immediately.
• Try not to panic.
• If they are breathing put them in the
recovery position. This stops them from
choking on vomit.
• If the person is not breathing, and you RECOVERY POSITION
know CPR try to resuscitate them.
• Stay with the person until help arrives.
Hep B and C
Protect yourself...
Risks...
• Not advised when using cocaine as a lot of
use may damage the inside of your bum.
• Do not use if you suffer from piles.
• You run the same risks of catching H.I.V.,
Hep B and C if you share any works or
front or back load.
Risks
Swallowed tablets
take up to 4hrs Cocaine has an anaesthetic effect (local pain killer);
to kick in. TIP: after a small amount has been injected you may not
feel the pain of poor injecting technique.
36 37
For more info we are here
Contact
This book was complied by Lynda Haran and Going into the Groin: Injecting in the
Niamh Randall with Pam Hosford and Eugene Femoral Vein. Lifeline Publications.
O’Leary.
Banging up Coke: A Booklet on How to
© Merchants Quay Ireland 2007 Avoid Indirect and Accidental Sharing
(2007) Harm Reduction Steering Group.
We also accept no responsibility for how the information in this booklet is used.
Merchants Quay Ireland
Homeless & Drugs Services
4 Merchants Quay
Dublin 8